MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH)€¦ · Wednesday September 28, 2011 . Hospital Bed Standard Advisory Committee (HBSAC) ... Opted for county-based method over zipcode-based

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH) HOSPITAL BED (HB)

STANDARD ADVISORY COMMITTEE (HBSAC) MEETING

Wednesday September 28, 2011

Capitol View Building 201 Townsend Street

MDCH Conference Center Lansing, Michigan 48913

APPROVED MINUTES

I. Call to Order

Chairperson Casalou called the meeting to order @ 9:36 a.m. A. Members Present:

James Ball, Michigan Manufacturer’s Assoc. Ron Bieber, United Auto Workers (UAW) Robert Casalou, Chairperson, Trinity Health Heidi Gustine, Munson Healthcare David Jahn, War Memorial via conference call Patrick Lamberti, POH Medical Center Nancy List, Covenant Healthcare Conrad Mallett, DMC Robert Milewski, BlueCross BlueShield of Michiagn (BCBSM) Doug Rich, Ascension Health Jane Schelberg, Vice-Chairperson, Henry Ford Kevin Splaine, Spectrum Health

B. Members Absent: None.

C. Michigan Department of Community Health Staff present: Natalie Kellogg Joette Laseur Tania Rodriguez Brenda Rogers

Hospital Bed Standard Advisory Committee (HBSAC) Mtg. APPROVED MINUTES Wednesday September 28, 2011

II. Declaration of Conflicts of Interest None.

III. Review of Agenda

Motion by Mr. Mallett and seconded by Mr. Lamberti to accept the agenda as presented. Motion carried.

IV. Review of Minutes of August 25, 2011 Motion by Vice-Chairperson Schelberg and seconded by Mr. Mallett to accept

the minutes as presented. Motion carried. V. Bed Need and Subarea Methodology Workgroup Update

Mr. Milewski gave a brief overview of the bed need and subarea methodology workgroup and the sub-workgroup’s progress (see Attachment A). Discussion followed. A. Public Comment:

None.

VI. Presentation and Discussion of Project Delivery Requirements

Chairperson Casalou briefly reviewed the Department’s modifications made to the project delivery requirements within the standards (see Attachment B). After further discussion, it was decided to hold off any decision-making until the other work groups have completed their work.

VII. Verbal Update and Discussion of Disposition of Unused Beds workgroup

Vice-Chairperson Schelberg gave a verbal & written overview of the workgroups progress and planning (see Attachment C). Discussion followed.

VIII. Public Comment

Dennis McCafferty, EAM

IX. Next Steps and Future Agenda Items



Chairperson Casalou advised that the agenda will be the same format with updates from the two major workgroups.

X. Future Meeting dates

A. October 19, 2011 B. November 16, 2011 C. December 20, 2011

XI. Adjournment Motion by Mr. Ball and seconded by Mr. Lamberti to adjourn the meeting @ 11:38 a.m. Motion Carried.

Hospital Subarea &Bed MethodologyWorkgroup Update

Bob Milewski

September 28, 2011

Attachment A

Workgroup Charge

Review and update the subarea methodology

Review and update bed need methodology

Attachment A

Subarea Methodology Objectives

Objective

Replicable

Sustainable

Attachment A

Subarea Methodology Decisions Cluster hospitals based on patient length of stay and location

Consider potential subarea results with peak incremental “fit” scores

NEW: Select final number of subareas based on Minimize number of single hospital subareas

Cap the maximum number of hospitals in a subarea

NEW: Manually assign new hospitals and those not reporting in MIDB

NEW: Re-run methodology at least every 5 years, or sooner at the request of MDCH

Attachment A

Subarea Methodology Results Motion approved at last meeting to move forward

with 35 subareas

See appendix for diagram of current 64 subareas and proposed 35 subareas

Eliminates 31 of 32 single-hospital subareas, which are mostly located in northern MI and the UP

Attachment A

Bed Need Methodology Objectives Objective

Replicable

Sustainable

Easy to run (repeats every two years)

Attachment A

Bed Need Methodology Decisions

Opted for county-based method over zipcode-based method to reduce forecasting volatility

Projection to be 5 years out

Evaluating projection approach options Forecast patient days based on historical trends Apply bed-day rates to population projections

Reviewing additional diagnostics today

Attachment A

Other Comments

Requirement for hospitals to report in MIDB

Recommended subarea clusters do not fall neatly within the eight HSAs

Attachment A

Appendix

Current hospital clusters (64)

Proposed hospital clusters (35)

Attachment A

Attachment A

Attachment A

CERTIFICATE OF NEED (CON) REVIEW STANDARDS 1 FOR HOSPITAL BEDS – PROJECT DELIVERY REQUIREMENTS 2

3 4

Section 9. Project delivery requirements -- terms of approval for all applicants 5 6 Sec. 9. (1) An applicant shall agree that, if approved, the project shall be delivered in compliance with 7 the following terms of CON approval: 8 9 (a1) Compliance with these standards. 10 11 (2) Compliance with the following quality assurance standards: 12 (A) The applicant shall assure compliance with Section 20201 of the Code, being Section 333.20201 13 of the Michigan Compiled Laws. 14 15 (e3) COMPLIANCE WITH THE FOLLOWING ACCESS TO CARE REQUIREMENTS: 16 (A) An applicant shall participate in Medicaid at least 12 consecutive months within the first two years 17 of operation and continue to participate annually thereafter. 18 (iB) The applicant, to assure appropriate utilization by all segments of the Michigan population, shall: 19 (Ii) Not deny services to any individual based on ability to pay or source of payment. 20 (iii) Maintain information by source of payment to indicate the volume of care from each payor and 21 non-payor source provided annually. 22 (iii) Provide services to any individual based on clinical indications of need for the services. 23 24 (4) COMPLIANCE WITH THE FOLLOWING MONITORING AND REPORTING REQUIREMENTS: 25 (A) An applicant approved pursuant to Section 6(4) must achieve a minimum occupancy of 75 26 percent over the last 12-month period in the three years after the new beds are put into operation, and for 27 each subsequent calendar year, or the number of new licensed beds shall be reduced to achieve a 28 minimum of 75 percent average annual occupancy for the revised licensed bed complement. 29 (B) The applicant must submit documentation acceptable and reasonable to the Department, within 30 30 days after the completion of the 3-year period, to substantiate the occupancy rate for the last 12-month 31 period after the new beds are put into operation and for each subsequent calendar year, within 30 days 32 after the end of the year. 33

(D) The applicant shall participate in a data collection networkSYSTEM established and administered 34 by the Department or its designee. The data may include, but isARE not limited to, annual budget and 35 cost information, OPERATING SCHEDULES, THROUGH-PUT SCHEDULES, and demographic, AND 36 diagnostic INFORMATION, morbidity, and mortality information, as well as the volume of care provided to 37 patients from all payor sources. The applicant shall provide the required data on a separate basis for 38 each licensed site; in a format established by the Department, and in a mutually agreed upon media. The 39 Department may elect to verify the data through on-site review of appropriate records. 40 (E) The applicant shall participate and submit data to the Michigan Inpatient Data Base (MIDB). The 41 data shall be submitted to the Department or its designee. 42 (F) The applicant shall provide the Department with a notice stating the date the hospital beds are 43 placed in operation and such TIMELY notice shall be submitted to the DepartmentOF THE PROPOSED 44 PROJECT IMPLEMENTATION consistent with applicable statute and promulgated rules. 45 (b) Compliance with applicable operating standards. 46 (i) An applicant approved pursuant to Section 6(4) must achieve a minimum occupancy of 75 47 percent over the last 12-month period in the three years after the new beds are put into operation, and for 48 each subsequent calendar year, or the number of new licensed beds shall be reduced to achieve a 49 minimum of 75 percent average annual occupancy for the revised licensed bed complement. 50 (ii) The applicant must submit documentation acceptable and reasonable to the Department, within 51 30 days after the completion of the 3-year period, to substantiate the occupancy rate for the last 12-month 52 period after the new beds are put into operation and for each subsequent calendar year, within 30 days 53 after the end of the year. 54

Attachment B

(c) Compliance with the following quality assurance standards: 55 (i) The applicant shall provide the Department with a notice stating the date the hospital beds are 56 placed in operation and such notice shall be submitted to the Department consistent with applicable 57 statute and promulgated rules. 58 (ii) The applicant shall assure compliance with Section 20201 of the Code, being Section 333.20201 59 of the Michigan Compiled Laws. 60

(iii)The applicant shall participate in a data collection network established and administered by the 61 Department or its designee. The data may include, but is not limited to, annual budget and cost 62 information and demographic, diagnostic, morbidity, and mortality information, as well as the volume of 63 care provided to patients from all payor sources. The applicant shall provide the required data on a 64 separate basis for each licensed site; in a format established by the Department, and in a mutually 65 agreed upon media. The Department may elect to verify the data through on-site review of appropriate 66 records. 67 (A) The applicant shall participate and submit data to the Michigan Inpatient Data Base (MIDB). The 68 data shall be submitted to the Department or its designee. 69 (iv) An applicant shall participate in Medicaid at least 12 consecutive months within the first two years 70 of operation and continue to participate annually thereafter. 71 (d) The applicant, to assure appropriate utilization by all segments of the Michigan population, shall: 72 (i) Not deny services to any individual based on ability to pay or source of payment. 73 (ii) Maintain information by source of payment to indicate the volume of care from each payor and 74 non-payor source provided annually. 75 (iii) Provide services to any individual based on clinical indications of need for the services. 76 77 (25) The agreements and assurances required by this section shall be in the form of a certification 78 agreed to by the applicant or its authorized agent. 79 80 81

Attachment B

Charge 6 Workgroup 9/16/11

Non – Acute Facilities: Applicant Name: Medilodge of Novi Date Approved: 8/10/10 Follow‐Up Date: 7/10/2011 CON No.: 09‐0135 Approved costs: $10,200,000 Project Description: To acquire 100 existing nursing home beds from MediLodge of Bloomfield Hills, replace these beds into new site outside replacement zone with a new design model with in Planning Area 63‐Oakland and make a covered capital expenditure. Applicant Name: Grand Blanc Care Center Date Approved: 3/26/10 Amendment Date: 7/6/2011 CON No.: 09‐0230 Approved costs: $7,626,000 Project Description: To make a change in the bed capacity by adding 108 nursing home beds into newly leased space in Planning Area 25 ‐ Genesee and make a covered capital expenditure. Applicant Name: Grand Traverse Pavilions Date Approved: 9/1/09 Amendment Date: 8/29/2011 CON No.: 09‐0081 Approved costs: $490,000 Project Description: To make a change in the bed capacity by adding 19 nursing home beds under high occupancy provision into new space currently used for assisted living and replace one (1) existing nursing home beds.

Rural Hospitals: Applicant Name: Portage Health System Date Approved: 10/29/01 Date Operational: 1/5/05 CON No.: 01‐0162 Approved costs: $2,254,000 Project Description: The addition of 6 med/surg beds. Applicant Name: Charlevoix Area Hospital Date Approved: 10/05/01 Date Operational: 7/1/03 CON No.: 01‐0256 Approved costs: $8,796,700 Project Description: To replace 26 beds into new construction and expand the Emergency Department. Applicant Name: Holland Community Hospital Date Approved: 6/8/04 Date Operational: 1/5/08

Hospital Bed Descriptions & Expenditures Page 1 of 14

Attachment C


CON No.: 03‐0396 Approved costs: $47,208,967 Project Description: To replace 30 licensed hospital beds into new construction and make a covered capital expenditure. Applicant Name: Paul Oliver Memorial Hospital Date Approved: 12/8/10 Date Operational: CON No.: 10‐0244 Approved costs: $1,100,000 Project Description: To replace four (4) existing hospital beds into new construction. Applicant Name: Baraga County Memorial Date Approved: 4/27/09 Date Operational: CON No.: 08‐0048 Approved costs: $25,041,691 Project Description: To replace the licensed hospital with 15 beds including 9 swing beds (delicense remaining 9), one (1) operating room, one (1) fixed CT scanner, host site on MRI network no. 80 and make a covered capital expenditure. Applicant Name: Munising Memorial Hospital Date Approved: 7/17/06 Date Operational: 11/1/08 CON No.: 06‐0087 Approved costs: $14,050,000 Project Description: To replace the licensed hospital with 11 beds and make a covered capital expenditure. Applicant Name: Sturgis Hospital Date Approved: 9/13/04 Date Operational: 12/1/06 CON No.: 04‐0127 Approved costs: $10,861,383 Project Description: To construct new addition, replace surgical services and twelve (12) licensed hospital beds into new construction and make a covered capital expenditure. Applicant Name: Otsego Memorial Hospital Assoc. DBA Approved Date: 9/1/2004 Operational Date: 8/06/2006 CON No.: 04‐0061 Approved costs: $17,560,153 Project Description: Construction, renovation, replacement of 10 hospital beds into new construction and making a covered capital expenditure Applicant Name: Huron Medical Center Approved Date: 6/30/2003 Operational Date: 8/22/2005


Attachment C


CON No.: 02‐0298 Approved costs: $8,721,038 Project Description: To construct a new addition, replace Emergency Department and make a covered capital expenditure Applicant Name: Hills and Dales General Hospital Approved Date: 11/2/2005 Operational Date: 02/28/2007 CON No.: 05‐0128 Approved costs: $ 9,907,721 Project Description: To add 25 medical/surgical beds through relocation from St. John Northeast Applicant Name: Bell Memorial Hospital Approved Date: 04/30/2007 Operational Date: 09/27/2008 CON No.: 06‐0003 Approved costs: $ 39,551,382 Project Description: To replace the existing hospital and make a covered capital expenditure. Applicant Name: Carson City Hospital Approved Date: 02/08/2006 Operational Date: 06/12/2007 CON No.: 05‐0198 Approved costs: $0 Project Description: To construct, renovate, replace one (1) fixed CT Scanner, replace surgical services and existing hospital beds into new construction and make a covered capital expenditure [PIPR changed CT scanner to Philips Brilliance 64 Channel System] Applicant Name: Grand View Hospital Approved Date: 06/07/2006 Operational Date: 06/01/2009 CON No.: 05‐0460 Approved costs: $2,696,562 Project Description: To construct new addition, relocate Emergency Department and make a covered capital expenditure.

High Occupancy CONs: Applicant Name: William Beaumont Hospital ‐ Troy Date Approved: 2/6/04 Date Operational: 5/1/04 CON No.: 03‐0253 Approved costs: $112,000 Project Description: To make a change in the bed capacity by adding twenty‐eight (28) hospital beds. Applicant Name: William Beaumont Hospital ‐ Troy Approved Date: 5/4/2006


Attachment C


Operational Date: 9/25/2006 CON No.: 05‐0438 Approved costs: $0 Project Description: To make a change in the bed capacity by adding 42 hospital beds (High Occupancy) Applicant Name: University of Michigan Health System Approved Date: 08/10/2006 Operational Date: 06/11/2007 CON No.: 06‐0089 Approved costs: $ 0 Project Description: To make a change in the bed capacity by adding 48 hospital beds Applicant Name: Bronson Methodist Hospital Date: 9/4/07 CON No.: 07‐0102 Approved costs: $4,877,000 Project Description: To make a change in the bed capacity by adding 37 hospital beds under high occupancy, renovate clinical service areas and make a covered capital expenditure. Applicant Name: William Beaumont Hospital ‐ Troy Date: 9/4/07 CON No.: 07‐0057 Approved costs: $120,000 Project Description: To make a change in the bed capacity by adding 50 hospital beds under the high occupancy provision. Applicant Name: William Beaumont Hospital – Royal Oak Date: 12/22/03 CON No.: 03‐0252 Approved costs: $2,885,400 Project Description: To make a change in the bed capacity by adding ninety‐four (94) hospital beds. Applicant Name: University of Michigan Health Center Approved Date: 09/01/2009 Operational Date: 11/19/2009 CON No.: 09‐0051 Approved costs: $0 Project Description: To make a change in the bed capacity by adding 17 hospital beds under high occupancy provision.

New Hospital CONs: Applicant Name: Henry Ford West Bloomfield Date: 3/3/04 Amendment Date: 03/03/2009 CON No.: 03‐0220 Approved costs: $345,555,000


Attachment C


Project Description: To begin operation of a new hospital with 300 beds (relocate 50 beds from Riverside Osteopathic Hospital and 250 beds from Henry Ford Hospital). Note: The amendment did not change the project cost. Applicant Name: Providence Medical Center Date Approved: 3/3/04 Date Operational: 7/1/09 CON No.: 03‐0221 Approved costs: $239,000,000 Project Description: To begin operation of a new hospital with 200 beds (relocate 22 beds from Brighton Hospital, 30 beds from St. John Oakland Hospital and 148 beds from Providence Hospital and Medical Center), four (4) operating rooms, one (1) fixed CT scanner, one (1) fixed MRI, and mobile PET and Lithotripsy service Note: The amendment did not change the project cost.

Additional Facilities: Applicant Name: Lenawee Medical Care Facility Date Approved: 10/3/02 Date Operational: 6/18/04 CON No.: 01‐0469 Costs: $4,647,989 Project Description: For the replacement of 20 beds into new construction. Applicant Name: St. Joseph Mercy Hospital – Ann Arbor Date Approved: 6/3/02 Date Operational: 7/30/04 CON No.: 01‐0353 Costs: $38,326,513 Project Description: For the addition of a sixth cardiac catheterization laboratory and the construction of a three‐story addition. Applicant Name: Huron Valley ‐ Sinai Hospital Date Approved: 5/3/02 Date Operational: 9/28/04 CON No.: 01‐0376 Costs: $22,157,447 Project Description: For the construction and renovation project to expand clinical and support services. Applicant Name: Lee Memorial Hospital Date Approved: 6/8/04 Date Operational: 10/6/04 CON No.: 03‐0528 Costs: $15,015 Project Description: To make a change in the bed capacity by adding ten (10) hospital beds. Applicant Name: Munson Medical Center


Attachment C


Date Approved: 5/22/03 Date Operational: 10/18/04 CON No.: 02‐0374 Costs: $11,428,967 Project Description: To construct a medical office building and make a covered capital expenditure. Applicant Name: St. Joseph’s Mercy Hospital – Clinton Township Date Approved: 4/1/03 Date Operational: 12/13/04 CON No.: 02‐0094 Costs: $19,629,582 Project Description: To construct a new South Tower addition. Applicant Name: Spectrum Health ‐ Butterworth Date Approved: 9/30/04 Date Operational: 1/31/05 CON No.: 04‐0205 Costs: $21,209,152 Project Description: For construction, renovation, relocation of 83 medical/surgical beds from Spectrum Health‐Blodgett Campus and making a covered capital expenditure. Applicant Name: Saint Mary’s Mercy Medical Center Date Approved: 7/6/01 Date Operational: 1/1/05 CON No.: 00‐0356 Costs: $40,568,068 Project Description: For the construction of a four‐story addition to house the Richard J. Lacks Sr. � Cancer Center. Applicant Name: Portage Health System Date Approved: 10/29/01 Date Operational: 1/5/05 CON No.: 01‐0162 Costs: $5,321,220 Project Description: For the addition of six medical/surgical beds. Applicant Name: Harper University Hospital Date Approved: 11/3/03 Date Operational: 1/10/05 CON No.: 03‐0165 Costs: $10,052,656 Project Description: To construct new addition and make a covered capital expenditure. Applicant Name: St. John Macomb Hospital Date Approved: 8/28/03 Date Operational: 2/7/05 CON No.: 03‐0035 Costs: $6,329,587


Attachment C


Project Description: For construction, renovation of Emergency Department and make a covered capital expenditure. Applicant Name: Hayes Green Beach Memorial Hospital Date Approved: 12/3/03 Date Operational: 2/14/05 CON No.: 03‐0134 Costs: $14,082,085 Project Description: To construct new addition, replace 45 existing hospital beds and make a covered capital expenditure. Applicant Name: Mecosta County Medical Center Date Approved: 10/24/03 Date Operational: 03/18/05 CON No.: 03‐0103 Costs: $10,984,656 Project Description: To construct, renovate, replace surgical services into new construction, relocate MRI services and make a covered capital expenditure. Applicant Name: Marquette General Hospital Date Approved: 5/1/03 Date Operational: 8/1/05 CON No.: 02‐0387 Costs: $14,040,763 Project Description: To construct new two‐story addition, expand Emergency Department and make a covered capital expenditure. Applicant Name: Tawas St. Joseph Hospital Date Approved: 9/30/03 Date Operational: 9/12/05 CON No.: 03‐0081 Costs: $11,386,386 Project Description: To replace surgical service into new construction, add one operating room and make a covered capital expenditure. Applicant Name: Providence Hospital Date Approved: 3/1/99 Date Operational: 10/31/05 CON No.: 98‐0075 Costs: $42,346,655 Project Description: For Phase I construction and renovation project. Applicant Name: St. John Hospital & Medical Center Date Approved: 12/17/04 Date Operational: 11/15/05 CON No.: 04‐0236 Costs: $0


Attachment C


Project Description: To add 53 medical/surgical beds through relocation from SCCI Hospital‐Detroit (within subarea 70). Applicant Name: St. Joseph Mercy Oakland Date Approved: 11/17/01 Date Operational: 12/23/05 CON No.: 99‐0243 Costs: $48,335,831 Project Description: For the construction of a new Emergency Center and renovate basement, 1st & 2nd floors and replacing 30 med/surg beds. Applicant Name: Bronson Lakeview Hospital Date Approved: 12/9/05 Date Operational: 12/22/05 CON No.: 05‐0130 Costs: $0 Project Description: To relocate 8 licensed hospital beds to from Lakeview Community Hospital to Bronson Vicksburg Hospital (within subarea 3A). Applicant Name: Scheurer Hospital Date Approved: 10/3/03 Date Operational: 1/30/06 CON No.: 02‐0355 Costs: $5,062,854 Project Description: To expand and renovate, and make a covered capital expenditure. Applicant Name: Mt. Clemens General Hospital Date Approved: 7/31/02 Date Operational: 12/19/05 CON No.: 01‐0308 Costs: $58,163,165 Project Description: For the construction of a new surgical wing with four additional operating rooms. Applicant Name: Oakwood Hospital & Medical Center Date Approved: 8/9/02 Date Operational: 4/3/07 CON No.: 01‐0468 Costs: $76,229,565 Project Description: For the major construction and renovation project including the addition of two operating rooms & replace CT scanner. Applicant Name: MidMichigan Medical Center ‐ Midland Date Approved: 4/3/02 Date Operational: 11/13/03 CON No.: 01‐0041 Costs: $8,022,339 Project Description: For the construction of a hospital‐based ambulatory surgery center.


Attachment C


Applicant Name: St John Macomb Hospital Approved Date: 02/17/2005 Operational Date: 5/10/2006 CON No.: 01‐0381 Approved costs: $2,754,509 Project Description: To construct a new addition and renovate a surgical suite Applicant Name: St John Macomb Hospital Approved Date: 02/17/2005 Operational Date: 5/10/2006 CON No.: 01‐0381 Approved costs: $2,754,509 Project Description: To construct a new addition and renovate a surgical suite Applicant Name: Mercy Mount Clemens Corp. (St. Joseph Mercy) Approved Date: 11/2/2005 Operational Date: 11/01/2006 CON No.: 04‐0533 Approved costs: $141,734 Project Description: To add 30 licensed hospital beds through relocation from St. Joseph's Mercy Hosp & Health Services‐East (within subarea 1F) Applicant Name: St. John Hospital & Medical Center Approved Date: 12/16/2004 Operational Date: 04/01/2006 CON No.: 04‐0296 Approved costs: $5,520,809 Project Description: To add 25 medical/surgical beds through relocation from St. John Northeast Campus (within subarea 70) Applicant Name: Bon Secours Cottage Health Services Approved Date: 03/26/2004 Operational Date: 12/21/2006 CON No.: 03‐0274 Approved costs: $3,807,882 Project Description: For construction, renovation and replacement of existing licensed beds Applicant Name: Mercy General Health Partners / Trinity Health Approved Date: 12/05/2006 Operational Date: 01/05/2007 CON No.: 06‐0261 Approved costs: $0 Project Description: To make a change in the bed capacity by adding 20 licensed hospital beds through relocation from Mercy General Health Partners, Oak Avenue campus (within subarea 4G). NOTE 10/29/2008: MGHP has 15 days to correct bed count per letter dated 10/29/08. Add 20 Beds from MGHP‐Oak Ave


Attachment C


Applicant Name: Spectrum Health/ United Memorial Hospital Approved Date: 02/14/2005 Operational Date: 05/25/2006 CON No.: 04‐0375 Approved costs: $17,885,352 Project Description: To construct new addition, relocate two (2) operating rooms into new construction and make a covered capital expenditure Applicant Name: Harper‐Hutzel Hospital Approved Date: 08/01/2006 Operational Date: 01/30/2007 CON No.: 05‐0531 Approved costs: $0 Project Description: To add 85 licensed hospital beds through relocation from Hutzel Women's Hospital (within subarea 1D) and relocate the designation of beds for NICU services for 36 beds. ADD 85 BEDS (INCL 36 NICU) FROM HUTZEL WOMEN. Applicant Name: Harper‐Hutzel Hospital Approved Date: 08/01/2006 Operational Date: 01/30/2007 CON No.: 05‐0531 Approved costs: $0 Project Description: To add 85 licensed hospital beds through relocation from Hutzel Women's Hospital (within subarea 1D) and relocate the designation of beds for NICU services for 36 beds. ADD 85 BEDS (INCL 36 NICU) FROM HUTZEL WOMEN. Applicant Name: Crittenton Hospital Approved Date: 04/05/2002 Operational Date: 07/13/2004 CON No.: 01‐0321 Approved costs: $95,435,421 Project Description: For the major construction and renovation project (Master Facility Plan) at Crittenton Hospital Applicant Name: University of Michigan Health System Approved Date: 05/06/2003 Operational Date: 06/11/2007 CON No.: 02‐0411 Approved costs: $192,863,789 Project Description: to construct a cardiovascular center (CVC) addition, replace 6 operating rooms (ORs), & shelling space for 2 future ORs, replace 48 hospital beds into new construction and make a covered capital expenditure Applicant Name: Bay Regional Medical Center Approved Date: 06/08/2005 Operational Date: 10/26/2007 CON No.: 04‐0370 Approved costs: $50,150,242


Attachment C


Project Description: To construct new addition, add four (4) new operating room, relocate 15 licensed hospital beds from Bay Regional Medical Center‐West Campus and make a covered capital expenditure Applicant Name: Munson Medical Center Approved Date: 11/29/2004 Operational Date: 9/11/2007 CON No.: 04‐0095 Approved costs: $36,299,365 Project Description: To construct new Emergency Department, replace 20 existing hospital beds into new construction, add 23 licensed hospital beds through relocation from Leelanau Memorial Health Center (within sub area 7F) and make a covered capital expenditure. Applicant Name: Battle Creek Health System Approved Date: 02/22/2007 Operational Date: 12/11/2007 CON No.: 06‐0337 Approved costs: $2,611,187 Project Description: To construct new addition, replace existing hospital beds into new space and make a covered capital expenditure. Applicant Name: Holland Community Hospital Approved Date: 06/08/2004 Operational Date: 01/05/2008 CON No.: 03‐0396 Approved costs: $50,732,326 Project Description: To replace 30 licensed hospital beds into new construction and make a covered capital expenditure. Applicant Name: Oaklawn Hospital Approved Date: 10/04/2000 Operational Date: 10/02/2002 CON No.: 99‐0138 Approved costs: $27,191,273 Project Description: For renovation and expansion of Oaklawn Hospital and adjoining medical/administration facilities. Applicant Name: W.A. Foote Memorial Hospital/ Allegiance Health Approved Date: 12/05/2006 Operational Date: 02/19/2008 CON No.: 06‐0252 Approved costs: $12,295,765 Project Description: To construct new addition, renovate, replace existing hospital beds and make a covered capital expenditure. Applicant Name: Herrick Memorial Hospital, Inc. Approved Date: 11/29/2004 Operational Date: 05/19/2008 CON No.: 04‐0221


Attachment C


Approved costs: $12,384,762 Project Description: For construction, renovation, expansion of Emergency Department and making a covered capital expenditure. Applicant Name: William Beaumont Hospital‐ Troy Approved Date: 05/12/2008 Operational Date: 06/01/2008 CON No.: 08‐0046 Approved costs: $2,500,000 Project Description: to make a change in the bed capacity by relocating 15 licensed hospital beds from North Oakland Medical Centers within subarea 1A, Relocate 15 Hospital Beds from NOMC. Applicant Name: Lapeer Regional Hospital Approved Date: 04/21/2005 Operational Date: 08/05/2008 CON No.: 04‐0345 Approved costs: $11,852,398 Project Description: For new construction, renovation, relocation of Emergency Department and making a covered capital expenditure. Applicant Name: St. Joseph Mercy Hospital (Trinity Health) Approved Date: 06/30/2003 Operational Date: 10/15/2007 CON No.: 02‐0266 Approved costs: $129,549,567 Project Description: To construct new patient tower and make a covered capital expenditure. Applicant Name: William Beaumont Hospital Approved Date: 09/30/2004 Operational Date: 12/31/2008 CON No.: 04‐0203 Approved costs: $184,667,516 Project Description: For construction, renovation, replacement of existing hospital beds into new space and make a covered capital expenditure. Applicant Name: Saint Mary’s Health Care Approved Date: 02/08/2006 Operational Date: 02/23/2009 CON No.: 05‐0359 Approved costs: $48,418,000 Project Description: To construct new addition, replace existing hospital beds into new construction and make a covered capital expenditure. Applicant Name: Gratiot Community Hospital Approved Date: 01/20/2006 Operational Date: 09/16/2008 CON No.: 05‐0351 Approved costs: $59,231,285


Attachment C


Project Description: To construct new addition, replace existing hospital beds and make a covered capital expenditure. Applicant Name: Lakeland Hospital, St. Joseph Approved Date: 08/12/2005 Operational Date: 03/16/2009 CON No.: 04‐0429 Approved costs: $61,528,842 Project Description: To construct new addition and replace existing hospital beds into new construction. Applicant Name: Ingham Regional Medical Approved Date: 05/05/2005 Operational Date: 08/06/2007 CON No.: 04‐0346 Approved costs: $57,127,257 Project Description: To construct new addition, replace surgical services and existing hospital beds into new construction, add one (1) cardiac catheterization laboratory and make a covered capital expenditure [Note: Cath lab was not installed as part of this project]. Applicant Name: Mercy Memorial Hospital Approved Date: 05/04/2006 Operational Date: 07/20/2009 CON No.: 05‐0481 Approved costs: $33,100,658 Project Description: To construct new addition, replace six (6) existing operating rooms and 18 hospital beds and make a covered capital expenditure. Applicant Name: Henry Ford Hospital Approved Date: 08/29/2006 Operational Date: 07/15/2009 CON No.: 06‐0074 Approved costs: $76,665,128 Project Description: To replace existing hospital beds into new construction and make a covered capital expenditure. Applicant Name: Providence Hospital Approved Date: 09/08/2009 Operational Date: 10/12/2009 CON No.: 09‐0097 Approved costs: $0 Project Description: To make a change in the bed capacity by adding 21 existing hospital beds to be relocated from St John Macomb‐Oakland Hospital‐Oakland Center Applicant Name: McLaren Regional Medical Approved Date: 05/22/2009 Operational Date: 11/09/2009 CON No.: 08‐0433 Approved costs: $3,525,755


Attachment C



Project Description: To replace 12 licensed rehab beds and 13 licensed medical/surgical beds into renovated space and make a covered capital expenditure. Applicant Name: Munson Medical Center Approved Date: 02/27/2009 Operational Date: 11/17/2009 CON No.: 08‐0375 Approved costs: $5,362,668 Project Description: To replace 29 existing hospital beds on 7th floor existing shelled space and make a covered capital expenditure. Applicant Name: William Beaumont Hospital Approved Date: 07/13/2009 Operational Date: 12/16/2009 CON No.: 09‐0111 Approved costs: $69,340,912 Project Description: To convert the newly constructed East Campus Ambulatory Care Center (ACC) as new hospital space and make a covered capital expenditure. Applicant Name: Hutzel Women’s Hospital Approved Date: 09/18/2009 Operational Date: 05/05/2010 CON No.: 09‐0092 Approved costs: $0 Project Description: To make a change in the bed capacity by adding 36 existing hospital beds relocated from Harper University Hospital. Applicant Name: Henry Ford Wyandotte Approved Date: 12/12/2008 Operational Date: 08/01/2010 CON No.: 08‐0298 Approved costs: $343,000 Project Description: To relocate all 50 licensed hospital beds from Riverside Osteopathic Hospital to Henry Ford Wyandotte Hospital within subarea 1C [NOTE: 22 beds to HF Wyandotte, 28 beds to HF Macomb (per HFES HF Macomb does not have room for the beds)].

Attachment C

Documents

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH)€¦ · Wednesday September 28, 2011 . Hospital Bed Standard Advisory Committee (HBSAC) ... Opted for county-based method over zipcode-based